| St Josephs Medical Group Pc | |
|
703 Main St Paterson NJ 07503-2621 | |
| (973) 754-2000 | |
| Not Available |
| Full Name | St Josephs Medical Group Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 703 Main St, Paterson, New Jersey |
| Authorized Official Name and Position | Michael Alwell (VP REVENUE CYCLE) |
| Authorized Official Contact | 9737542892 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| St Josephs Medical Group Pc 703 Main St Paterson NJ 07503-2621 Ph: (973) 754-2000 | St Josephs Medical Group Pc 703 Main St Paterson NJ 07503-2621 Ph: (973) 754-2000 |
| NPI Number | 1205425519 |
|---|---|
| Provider Enumeration Date | 01/12/2021 |
| Last Update Date | 06/16/2022 |
| Medicare PECOS PAC ID | 8628470325 |
|---|---|
| Medicare Enrollment ID | O20210716000520 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205425519 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Joseph Duffy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033117171 PECOS PAC ID: 5890697411 Enrollment ID: I20040123000788 |
| Provider Name | Mutahar Ahmed |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1760451827 PECOS PAC ID: 1456244045 Enrollment ID: I20040206000288 |
| Provider Name | Gennaro Rubino |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194747725 PECOS PAC ID: 8123012101 Enrollment ID: I20040413000323 |
| Provider Name | John J Messina |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1922186311 PECOS PAC ID: 6709872872 Enrollment ID: I20040423000160 |
| Provider Name | Alan Cohler |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1407894322 PECOS PAC ID: 4486641149 Enrollment ID: I20040427000075 |
| Provider Name | Michael P Lewko |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1730121799 PECOS PAC ID: 8628065398 Enrollment ID: I20040427000286 |
| Provider Name | Kevin J Mickey |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1538101662 PECOS PAC ID: 1355332081 Enrollment ID: I20040521000240 |
| Provider Name | William Debruin |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1457353757 PECOS PAC ID: 0749261089 Enrollment ID: I20040525000218 |
| Provider Name | David I Goldberg |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1669413324 PECOS PAC ID: 1759365695 Enrollment ID: I20040617000134 |
| Provider Name | Louis Arroyo |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1538114103 PECOS PAC ID: 0840274692 Enrollment ID: I20040617000915 |
| Provider Name | Dorothy J Myridakis |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1740335405 PECOS PAC ID: 4385629211 Enrollment ID: I20040623000917 |
| Provider Name | Robert G Lahita |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1336275288 PECOS PAC ID: 6204813918 Enrollment ID: I20040701000138 |
| Provider Name | Alan J Sori |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1790724342 PECOS PAC ID: 5193704237 Enrollment ID: I20040714000445 |
| Provider Name | Roger P Rossi |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1548281058 PECOS PAC ID: 4082524079 Enrollment ID: I20040804001105 |
| Provider Name | Elena Napolitano |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1881674943 PECOS PAC ID: 6901870393 Enrollment ID: I20040823000256 |
| Provider Name | Joseph A Holahan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1871534230 PECOS PAC ID: 8123092996 Enrollment ID: I20040826000019 |
| Provider Name | Roberto V Nachajon |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1518908268 PECOS PAC ID: 0345215992 Enrollment ID: I20040827000930 |
| Provider Name | Nidal M Matalkah |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1447336771 PECOS PAC ID: 9436126901 Enrollment ID: I20040914000642 |
| Provider Name | Lan Wang |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1306828447 PECOS PAC ID: 1355301615 Enrollment ID: I20041012001161 |
| Provider Name | Manuel Moquete |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1568564102 PECOS PAC ID: 4587575121 Enrollment ID: I20041019000793 |
| Provider Name | Slawomir M Kosinski |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1184661597 PECOS PAC ID: 0749272177 Enrollment ID: I20041019000799 |
| Provider Name | Vincent A Graziano |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1578554796 PECOS PAC ID: 7214848852 Enrollment ID: I20041019000845 |
| Provider Name | Yihong H Cheng |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629072046 PECOS PAC ID: 7911969746 Enrollment ID: I20041103000135 |
| Provider Name | Otto Sabando |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1821002817 PECOS PAC ID: 0941283634 Enrollment ID: I20050110000428 |
| Provider Name | Mahmoud M Eid |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508968561 PECOS PAC ID: 6800844598 Enrollment ID: I20050111000755 |
| Provider Name | Nader Boulos |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1518971456 PECOS PAC ID: 0446208128 Enrollment ID: I20050120000099 |
| Provider Name | Dimitris Zouzias |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1366480527 PECOS PAC ID: 5395790174 Enrollment ID: I20050315000173 |
| Provider Name | Jill S Menell |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1831137876 PECOS PAC ID: 8123065646 Enrollment ID: I20050415000003 |
| Provider Name | Eric Fernandez |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1114926458 PECOS PAC ID: 2062455835 Enrollment ID: I20050603000085 |
| Provider Name | Fayez Shamoon |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1528053477 PECOS PAC ID: 1557307048 Enrollment ID: I20050706000929 |
| Provider Name | Stamatina Kaptain |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1124001110 PECOS PAC ID: 6800824194 Enrollment ID: I20050728000431 |
| Provider Name | Amy L Fisherman |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1811927288 PECOS PAC ID: 1759319650 Enrollment ID: I20050802000160 |
| Provider Name | Irina Tkach-chubay |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1598866550 PECOS PAC ID: 2163453853 Enrollment ID: I20050823000195 |
| Provider Name | Warren L Maresca |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1992726152 PECOS PAC ID: 0547293532 Enrollment ID: I20050912000104 |
| Provider Name | Mourad M Ismail |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386686269 PECOS PAC ID: 3779516059 Enrollment ID: I20050916000733 |
| Provider Name | Ilene S Matza |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528005881 PECOS PAC ID: 1951335280 Enrollment ID: I20051004000276 |
| Provider Name | Carolyn Strimike |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821044264 PECOS PAC ID: 1658305982 Enrollment ID: I20051107000038 |
| Provider Name | Romana Kulikova |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1245263441 PECOS PAC ID: 3678592003 Enrollment ID: I20051115000878 |
| Provider Name | Khaled A Hassan |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1437197837 PECOS PAC ID: 6709805690 Enrollment ID: I20051121000836 |
| Provider Name | Marjory Ellen Langer |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1750378451 PECOS PAC ID: 9931129004 Enrollment ID: I20051205000159 |
| Provider Name | Elizabeth E Sonnenblick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770539876 PECOS PAC ID: 0042233959 Enrollment ID: I20060109000776 |
| Provider Name | Peggy S Eicher |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1184666885 PECOS PAC ID: 7719900414 Enrollment ID: I20060110000043 |
| Provider Name | Roger P Kierce |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1740216605 PECOS PAC ID: 0941224166 Enrollment ID: I20060114000008 |
| Provider Name | Derick J Christian |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1972594364 PECOS PAC ID: 2466467212 Enrollment ID: I20060215000227 |
| Provider Name | Priscilla D Kaszubski |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1174561781 PECOS PAC ID: 6103832563 Enrollment ID: I20060223000033 |
| Provider Name | Deepak V Patel |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1447288378 PECOS PAC ID: 0941216519 Enrollment ID: I20060307000006 |
| Provider Name | Ann M Scanlon-smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609817899 PECOS PAC ID: 9032124391 Enrollment ID: I20060310000051 |
| Provider Name | Leah Kopelan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417915422 PECOS PAC ID: 9638066426 Enrollment ID: I20060320000308 |
| Provider Name | Ali A Zahran |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1992782940 PECOS PAC ID: 1759395205 Enrollment ID: I20061002000409 |
| Provider Name | Safwat M Awad |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1184668980 PECOS PAC ID: 5890897532 Enrollment ID: I20070226000793 |
| Provider Name | Silvio Podda |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1366564460 PECOS PAC ID: 9335248376 Enrollment ID: I20070615000549 |
| Provider Name | Alexis C Bobila |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1245213271 PECOS PAC ID: 6204937840 Enrollment ID: I20070726000005 |
| Provider Name | Heather M Russell |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1437230133 PECOS PAC ID: 8426149402 Enrollment ID: I20070806000252 |
| Provider Name | James W Goodnight |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1144313131 PECOS PAC ID: 1153364088 Enrollment ID: I20070906000322 |
| Provider Name | Laurie S Nahum |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1558361295 PECOS PAC ID: 8123112190 Enrollment ID: I20070921000042 |
| Provider Name | Essam A Ahmed |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1710969886 PECOS PAC ID: 7517067754 Enrollment ID: I20071017000832 |
| Provider Name | Mamatha R Gadarla |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124167879 PECOS PAC ID: 1052419686 Enrollment ID: I20071112000529 |
| Provider Name | Carmen R Mallamaci |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1457314346 PECOS PAC ID: 6507955879 Enrollment ID: I20071210000396 |
| Provider Name | Bindu C Khanna |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1427004472 PECOS PAC ID: 2264515808 Enrollment ID: I20080206000095 |
| Provider Name | Yuliya Dementyeva |
|---|---|
| Provider Type | Practitioner - Other (physician) |
| Provider Identifiers | NPI Number: 1811192255 PECOS PAC ID: 4385728682 Enrollment ID: I20080226000273 |
| Provider Name | Michael Maroules |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1134221062 PECOS PAC ID: 2062590540 Enrollment ID: I20080424000102 |
| Provider Name | Narmer F Galeano |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1528003985 PECOS PAC ID: 1951489251 Enrollment ID: I20080428000481 |
| Provider Name | Marcia Ribalta |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1588611719 PECOS PAC ID: 7911077318 Enrollment ID: I20080528000163 |
| Provider Name | Peter Tah |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1548254428 PECOS PAC ID: 6608947965 Enrollment ID: I20080616000029 |
| Provider Name | Peter G Mcgovern |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1770674004 PECOS PAC ID: 9739144379 Enrollment ID: I20080620000057 |
| Provider Name | Jerome I Barr |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1396914867 PECOS PAC ID: 4880767102 Enrollment ID: I20080721000280 |
| Provider Name | Colin Bethel |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1871528943 PECOS PAC ID: 0446325948 Enrollment ID: I20080819000134 |
| Provider Name | Nishith Bhattacharyya |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1003854092 PECOS PAC ID: 7618042110 Enrollment ID: I20080819000166 |
| Provider Name | Andrew N Cohen |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1508030610 PECOS PAC ID: 7911074075 Enrollment ID: I20080916000380 |
| Provider Name | Alyce M Thomas |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1699958116 PECOS PAC ID: 6507926334 Enrollment ID: I20081124000177 |
| Provider Name | Amer Akmal |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1164405510 PECOS PAC ID: 1153420625 Enrollment ID: I20090107000264 |
| Provider Name | Satish R Tiyyagura |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1457501363 PECOS PAC ID: 9537223847 Enrollment ID: I20090202000340 |
| Provider Name | Maliha Ahmad |
|---|---|
| Provider Type | Practitioner - Other (physician) |
| Provider Identifiers | NPI Number: 1902067952 PECOS PAC ID: 8022174176 Enrollment ID: I20090226000010 |
| Provider Name | Wenlang Xia |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1578508693 PECOS PAC ID: 3577582600 Enrollment ID: I20090325000584 |
| Provider Name | Aaditya A Desai |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1053517268 PECOS PAC ID: 0244321719 Enrollment ID: I20090408000259 |
| Provider Name | Ketaki Vaidhyanathan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1992904445 PECOS PAC ID: 0446309645 Enrollment ID: I20090519000058 |
| Provider Name | Helen E Amadasu Kest |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1508803420 PECOS PAC ID: 6002843414 Enrollment ID: I20090528000552 |
| Provider Name | Steven Wayne Talbot |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1710183751 PECOS PAC ID: 2567512833 Enrollment ID: I20090611000210 |
| Provider Name | Marc A Bornstein |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1245308576 PECOS PAC ID: 8426102005 Enrollment ID: I20090817000307 |
| Provider Name | Brian T Day |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1164622270 PECOS PAC ID: 1951447796 Enrollment ID: I20091007000679 |
| Provider Name | Aleksandar Micevski |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1114172731 PECOS PAC ID: 5597801225 Enrollment ID: I20091009000007 |
| Provider Name | Dov Gorshein |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1396897732 PECOS PAC ID: 9032259064 Enrollment ID: I20091222000572 |
| Provider Name | Erica R Schiffman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1013041631 PECOS PAC ID: 5597890996 Enrollment ID: I20100323000777 |
| Provider Name | Ciro G Randazzo |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1114116464 PECOS PAC ID: 7416009022 Enrollment ID: I20100430000304 |
| Provider Name | Jahir C Sama |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1063484996 PECOS PAC ID: 1658409362 Enrollment ID: I20100517000310 |
| Provider Name | Roberto A Solis |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1376650754 PECOS PAC ID: 9739219205 Enrollment ID: I20100609000709 |
| Provider Name | Juan Riestra |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1841255320 PECOS PAC ID: 9234263625 Enrollment ID: I20100820000622 |
| Provider Name | Michael Lange |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1477591196 PECOS PAC ID: 9133313679 Enrollment ID: I20101028001427 |
| Provider Name | Mahesh Bikkina |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1205856002 PECOS PAC ID: 4981690336 Enrollment ID: I20101103000360 |
| Provider Name | Swati Jai Parekh |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1427087725 PECOS PAC ID: 8123213642 Enrollment ID: I20101110000638 |
| Provider Name | Rinet P Fernandes |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1104036680 PECOS PAC ID: 9638364706 Enrollment ID: I20101115000832 |
| Provider Name | Jianfeng Li |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295972735 PECOS PAC ID: 3274686753 Enrollment ID: I20110110000171 |
| Provider Name | Roberto Jodorkovsky |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1457391880 PECOS PAC ID: 9032255096 Enrollment ID: I20110121001035 |
| Provider Name | Munzer M Arnouk |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841271939 PECOS PAC ID: 7214923564 Enrollment ID: I20110224000167 |
| Provider Name | Michael Ernest Fusaro |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1154407500 PECOS PAC ID: 1759567951 Enrollment ID: I20110524000823 |
| Provider Name | Dorothy Ozurumba |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962609909 PECOS PAC ID: 6103004114 Enrollment ID: I20110622000197 |
| Provider Name | Ali E Elsayed |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1871702977 PECOS PAC ID: 7113196585 Enrollment ID: I20110802000255 |
| Provider Name | Irmute Usiene |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1588862221 PECOS PAC ID: 1557530870 Enrollment ID: I20110803000053 |
| Provider Name | Cheryl B Panem |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1215972476 PECOS PAC ID: 8022031350 Enrollment ID: I20110906000231 |
| Provider Name | Keith A Christiansen |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1679724694 PECOS PAC ID: 5395917488 Enrollment ID: I20111014000203 |
| Provider Name | Hartaj S Virk |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1568626877 PECOS PAC ID: 0941474498 Enrollment ID: I20111117000604 |
| Provider Name | Walid J Baddoura |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1043253578 PECOS PAC ID: 5597930982 Enrollment ID: I20111214000033 |
| Provider Name | Robert V Madlinger |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1023180544 PECOS PAC ID: 9335229145 Enrollment ID: I20120126000261 |
| Provider Name | Sherry Yang |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1225076961 PECOS PAC ID: 7416052790 Enrollment ID: I20120215000594 |
| Provider Name | Melissa H Warta |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1083660278 PECOS PAC ID: 0244490019 Enrollment ID: I20120402000517 |
| Provider Name | Christy L Kanazik |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1689808370 PECOS PAC ID: 4284897208 Enrollment ID: I20120531000140 |
| Provider Name | James Labagnara |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1811934714 PECOS PAC ID: 3779646062 Enrollment ID: I20120625000095 |
| Provider Name | Thomas Christiano |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1487805800 PECOS PAC ID: 4789861444 Enrollment ID: I20120917000070 |
| Provider Name | Rehma Siddiqui |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1992961502 PECOS PAC ID: 6406005735 Enrollment ID: I20121002000532 |
| Provider Name | Osama A Elsawy |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1962732115 PECOS PAC ID: 4981868874 Enrollment ID: I20121003000407 |
| Provider Name | Peter Balazs |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1891948303 PECOS PAC ID: 6800046772 Enrollment ID: I20121031000102 |
| Provider Name | Ajay V Jetley |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1023243623 PECOS PAC ID: 1052597226 Enrollment ID: I20130122000158 |
| Provider Name | Mark A Ingram |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1710040621 PECOS PAC ID: 7012994296 Enrollment ID: I20130219000184 |
| Provider Name | Carla M Rizzo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528296589 PECOS PAC ID: 7911142344 Enrollment ID: I20130405000336 |
| Provider Name | Yael Silverberg-urian |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1568512556 PECOS PAC ID: 6800032178 Enrollment ID: I20130412000111 |
| Provider Name | Marjory Desulme |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821348764 PECOS PAC ID: 9234375767 Enrollment ID: I20130429000281 |
| Provider Name | Basilisa Pacheco |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790023570 PECOS PAC ID: 4183861255 Enrollment ID: I20130508000545 |
| Provider Name | Michael Pasquale |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013157791 PECOS PAC ID: 5496992240 Enrollment ID: I20130515000086 |
| Provider Name | David L Principe |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1417985391 PECOS PAC ID: 8123265808 Enrollment ID: I20130517000006 |
| Provider Name | Marek Belz |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1073732699 PECOS PAC ID: 0446492631 Enrollment ID: I20130819000500 |
| Provider Name | Nadra A Moulayes |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1821226242 PECOS PAC ID: 1951544659 Enrollment ID: I20130828000532 |
| Provider Name | Oriana E Cornett |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1487977591 PECOS PAC ID: 0143457648 Enrollment ID: I20131207000011 |
| Provider Name | Punita Gupta |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1073709457 PECOS PAC ID: 0042447583 Enrollment ID: I20131209000676 |
| Provider Name | Jeffrey J Kinyon |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1326268871 PECOS PAC ID: 3870676521 Enrollment ID: I20131223000944 |
| Provider Name | Osamuedenomwan F Edobor-osula |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1689996142 PECOS PAC ID: 7618105834 Enrollment ID: I20140116000228 |
| Provider Name | Beth Stein |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1710146865 PECOS PAC ID: 8022161835 Enrollment ID: I20140207000454 |
| Provider Name | Salini K Nair |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588092019 PECOS PAC ID: 1850514027 Enrollment ID: I20140516000885 |
| Provider Name | Samara Khatib |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366754152 PECOS PAC ID: 5193950210 Enrollment ID: I20140527001502 |
| Provider Name | Jennifer Patuto |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1518996784 PECOS PAC ID: 2264697655 Enrollment ID: I20140618001354 |
| Provider Name | Debra Cari Katz |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1376532457 PECOS PAC ID: 1850367467 Enrollment ID: I20140620000224 |
| Provider Name | Dorothy M Stansfield-panzera |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1285679613 PECOS PAC ID: 6901022821 Enrollment ID: I20140729001538 |
| Provider Name | Alissa R Kahn |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1598924011 PECOS PAC ID: 2860619269 Enrollment ID: I20140808000145 |
| Provider Name | Tarek Rashid |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114125234 PECOS PAC ID: 2466506472 Enrollment ID: I20140825002350 |
| Provider Name | Helen M Baluyot |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1164425625 PECOS PAC ID: 6800014846 Enrollment ID: I20140904000784 |
| Provider Name | Natalie I Bilenki |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1912965153 PECOS PAC ID: 3274752472 Enrollment ID: I20140922000896 |
| Provider Name | Deniece T Boothe |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1881824548 PECOS PAC ID: 9234363243 Enrollment ID: I20140924001974 |
| Provider Name | Alicia R Notkin |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1346428950 PECOS PAC ID: 8628142353 Enrollment ID: I20140930002372 |
| Provider Name | Katerina K Harwood |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1861563249 PECOS PAC ID: 2961622261 Enrollment ID: I20141009000497 |
| Provider Name | Heather Marretta |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1851791545 PECOS PAC ID: 0345461125 Enrollment ID: I20141020001670 |
| Provider Name | Monalisa Joseph |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1578849345 PECOS PAC ID: 7911129879 Enrollment ID: I20141107001402 |
| Provider Name | Rosemarie Bello-hornak |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1457381998 PECOS PAC ID: 6305068297 Enrollment ID: I20141110000091 |
| Provider Name | Maria T Rivera-penera |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1184671596 PECOS PAC ID: 3577599455 Enrollment ID: I20141120000966 |
| Provider Name | Kim A Luciano |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740284496 PECOS PAC ID: 1850613076 Enrollment ID: I20141125001203 |
| Provider Name | Mini Willphine |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235538950 PECOS PAC ID: 9638491863 Enrollment ID: I20141125001406 |
| Provider Name | Shideh Doroudi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427452465 PECOS PAC ID: 1153644109 Enrollment ID: I20141223000604 |
| Provider Name | Eileen J Howard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679983324 PECOS PAC ID: 9234452285 Enrollment ID: I20141223000624 |
| Provider Name | Jacqueline Ysique |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437568086 PECOS PAC ID: 8022331008 Enrollment ID: I20141223002112 |
| Provider Name | Heather Truchelut |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912275504 PECOS PAC ID: 6103149000 Enrollment ID: I20141230000388 |
| Provider Name | Lilly Paulose |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699014316 PECOS PAC ID: 0840514055 Enrollment ID: I20150116001614 |
| Provider Name | Angela L Gunn |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1780641514 PECOS PAC ID: 4789909250 Enrollment ID: I20150205000358 |
| Provider Name | Mehandar Kumar |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1790082550 PECOS PAC ID: 0941442560 Enrollment ID: I20150223001312 |
| Provider Name | Michael Silverberg |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1417086729 PECOS PAC ID: 3971751926 Enrollment ID: I20150316001658 |
| Provider Name | Megan Wannamaker |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750643557 PECOS PAC ID: 7517284292 Enrollment ID: I20150317001188 |
| Provider Name | Jaya L Srinivasan-mehta |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1962648832 PECOS PAC ID: 3870810021 Enrollment ID: I20150326001808 |
| Provider Name | Megan E Kaminskyj |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1982991618 PECOS PAC ID: 1850619719 Enrollment ID: I20150406001697 |
| Provider Name | Sandra Gibiezaite |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1255651873 PECOS PAC ID: 8426205121 Enrollment ID: I20150511001680 |
| Provider Name | Jin S Suh |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1649299975 PECOS PAC ID: 7214989847 Enrollment ID: I20150608001355 |
| Provider Name | Toghrul Talishinskiy |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1386888477 PECOS PAC ID: 4183937998 Enrollment ID: I20150723007168 |
| Provider Name | Stephan Dorkhom |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1578872776 PECOS PAC ID: 1052505237 Enrollment ID: I20150728005461 |
| Provider Name | Patrick Michael |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235426263 PECOS PAC ID: 9335453695 Enrollment ID: I20150730011282 |
| Provider Name | Christopher Wright |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1790003267 PECOS PAC ID: 6709190739 Enrollment ID: I20150804003906 |
| Provider Name | Mukundha B Maneyapanda |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578827721 PECOS PAC ID: 2264747922 Enrollment ID: I20150811003866 |
| Provider Name | Maria Vasena Marengo |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1417201021 PECOS PAC ID: 2163737776 Enrollment ID: I20150811005698 |
| Provider Name | Catherine Fitzgerald |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992199434 PECOS PAC ID: 8921313339 Enrollment ID: I20150813011874 |
| Provider Name | Rajapriya Manickam |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1285938431 PECOS PAC ID: 1254501208 Enrollment ID: I20150814013231 |
| Provider Name | Pamela Mukhatiyar |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1336301977 PECOS PAC ID: 1153589718 Enrollment ID: I20150904000753 |
| Provider Name | Jacob Mathew |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407160187 PECOS PAC ID: 5193032092 Enrollment ID: I20150909002085 |
| Provider Name | Anthony J Kim |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790048254 PECOS PAC ID: 9335456565 Enrollment ID: I20150921000285 |
| Provider Name | Dianelys Garcia |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1407103500 PECOS PAC ID: 6406164326 Enrollment ID: I20150925002486 |
| Provider Name | Anish Samuel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891012332 PECOS PAC ID: 5496902587 Enrollment ID: I20150930002818 |
| Provider Name | Tia Davis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1871997833 PECOS PAC ID: 3577872431 Enrollment ID: I20151016001031 |
| Provider Name | Maria Montalvo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568864270 PECOS PAC ID: 9032428644 Enrollment ID: I20151022000563 |
| Provider Name | Corina Pereira Meade |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962881300 PECOS PAC ID: 6800105420 Enrollment ID: I20151022001156 |
| Provider Name | Linda M Bowersox |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215118773 PECOS PAC ID: 8628216355 Enrollment ID: I20151207001348 |
| Provider Name | Ruth L Lamm |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1972624302 PECOS PAC ID: 3274726583 Enrollment ID: I20160126000076 |
| Provider Name | Michael Blechner |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1437485174 PECOS PAC ID: 3274837752 Enrollment ID: I20160203000825 |
| Provider Name | Hae Ok Kim |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881068435 PECOS PAC ID: 2961707435 Enrollment ID: I20160222000156 |
| Provider Name | Jordan M Yakoby |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811364375 PECOS PAC ID: 4587961834 Enrollment ID: I20160331000861 |
| Provider Name | Ryan C Mccloskey |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1467715417 PECOS PAC ID: 6204126972 Enrollment ID: I20160608001658 |
| Provider Name | Nicole M Conroy |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1508182452 PECOS PAC ID: 6406147305 Enrollment ID: I20160623002285 |
| Provider Name | Carlos Alberto Rueda |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1366490195 PECOS PAC ID: 6103807607 Enrollment ID: I20160701000920 |
| Provider Name | Jeffrey M Kornitzer |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1932499266 PECOS PAC ID: 8628362720 Enrollment ID: I20160812000849 |
| Provider Name | Tawfiq J Karadsheh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629487707 PECOS PAC ID: 7113213695 Enrollment ID: I20160909000095 |
| Provider Name | Indrani Banerjee |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275899015 PECOS PAC ID: 0941438444 Enrollment ID: I20161007001344 |
| Provider Name | Shahreen R Panarotto |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184970139 PECOS PAC ID: 1254629991 Enrollment ID: I20161012000334 |
| Provider Name | Bledi Zaku |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1275846727 PECOS PAC ID: 3678861960 Enrollment ID: I20161020000136 |
| Provider Name | Qizhi Wang |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1760823355 PECOS PAC ID: 2062790348 Enrollment ID: I20161021000814 |
| Provider Name | Paul Park |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1265879167 PECOS PAC ID: 8820376395 Enrollment ID: I20161103001810 |
| Provider Name | Mzingaye Moyo |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1093027245 PECOS PAC ID: 2062641467 Enrollment ID: I20161110000899 |
| Provider Name | Stefanie Mathews |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821320946 PECOS PAC ID: 1052690294 Enrollment ID: I20161111000095 |
| Provider Name | Desiree Ferrandiz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669836334 PECOS PAC ID: 5799064804 Enrollment ID: I20161114000701 |
| Provider Name | Basil S Taha |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942667621 PECOS PAC ID: 5193004935 Enrollment ID: I20161117002333 |
| Provider Name | Anthony Oduje Isedeh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639445539 PECOS PAC ID: 2567688922 Enrollment ID: I20161128001366 |
| Provider Name | Michael R Agnelli |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548503451 PECOS PAC ID: 4082994843 Enrollment ID: I20161213001980 |
| Provider Name | Zakia Bowen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982973731 PECOS PAC ID: 6800017500 Enrollment ID: I20161219000049 |
| Provider Name | Mohamad S Khalil |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508263377 PECOS PAC ID: 6800176488 Enrollment ID: I20161219000827 |
| Provider Name | Benjamin H Rebein |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1265743967 PECOS PAC ID: 2264714658 Enrollment ID: I20170119001419 |
| Provider Name | Dina Galaktionova |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1316364144 PECOS PAC ID: 9133402720 Enrollment ID: I20170206000630 |
| Provider Name | Maria C Kitele |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891242194 PECOS PAC ID: 7618251547 Enrollment ID: I20170221001650 |
| Provider Name | Jennifer M Taylor |
|---|---|
| Provider Type | Practitioner - Geriatric Psychiatry |
| Provider Identifiers | NPI Number: 1760838148 PECOS PAC ID: 2769766377 Enrollment ID: I20170227002157 |
| Provider Name | Michele Bergamotto |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598200545 PECOS PAC ID: 0648557652 Enrollment ID: I20170501000068 |
| Provider Name | Therese E Floyd |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497291504 PECOS PAC ID: 2961779988 Enrollment ID: I20170523002237 |
| Provider Name | Nadia R Hamdi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073063368 PECOS PAC ID: 1254609217 Enrollment ID: I20170615000131 |
| Provider Name | Mohammed M Alnakeeb |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1407262397 PECOS PAC ID: 5193096840 Enrollment ID: I20170731000888 |
| Provider Name | Ronald D Ennis |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1780668400 PECOS PAC ID: 5597714949 Enrollment ID: I20170908001615 |
| Provider Name | Olubunmi Adeoye |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1588935548 PECOS PAC ID: 8224286356 Enrollment ID: I20170914003217 |
| Provider Name | Elizabeth Kiselak |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1912296195 PECOS PAC ID: 3779857446 Enrollment ID: I20170919001417 |
| Provider Name | Mario C Colletti |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1043449671 PECOS PAC ID: 3678723012 Enrollment ID: I20171003006841 |
| Provider Name | Scott R Wessner |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1972899607 PECOS PAC ID: 7618242058 Enrollment ID: I20171010003558 |
| Provider Name | Sami Abdulmassih |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760777270 PECOS PAC ID: 9436424876 Enrollment ID: I20171010003570 |
| Provider Name | William C Woolbright |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1407155161 PECOS PAC ID: 0941576250 Enrollment ID: I20171031002345 |
| Provider Name | Franz Yanagawa |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1851619084 PECOS PAC ID: 9335360015 Enrollment ID: I20171110001526 |
| Provider Name | Varsha Singh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275866592 PECOS PAC ID: 1456618537 Enrollment ID: I20171128000254 |
| Provider Name | Moh'd Hazem K Azzam |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1902185135 PECOS PAC ID: 4284805433 Enrollment ID: I20171227002221 |
| Provider Name | Joseph J Bove |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1972943652 PECOS PAC ID: 3173881893 Enrollment ID: I20171228002697 |
| Provider Name | Shivani Patel |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1760761159 PECOS PAC ID: 3678834165 Enrollment ID: I20180226000356 |
| Provider Name | Hanan K Tawadrous |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1346554060 PECOS PAC ID: 1850576141 Enrollment ID: I20180306001123 |
| Provider Name | Maryann Maximos |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1942405659 PECOS PAC ID: 0941436661 Enrollment ID: I20180504002015 |
| Provider Name | Fuad M Kiblawi |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1710065107 PECOS PAC ID: 8921362435 Enrollment ID: I20180509002764 |
| Provider Name | Catherine M Lubliner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366952053 PECOS PAC ID: 3476818485 Enrollment ID: I20180522001961 |
| Provider Name | Debra L Fitzsimmons |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235411968 PECOS PAC ID: 9739434606 Enrollment ID: I20180618000533 |
| Provider Name | Bing Gong |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306238100 PECOS PAC ID: 7214282755 Enrollment ID: I20180625000811 |
| Provider Name | Judith Bonjour |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245769348 PECOS PAC ID: 3577818947 Enrollment ID: I20180626002975 |
| Provider Name | Christine Leroy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538542949 PECOS PAC ID: 1254687700 Enrollment ID: I20180713000506 |
| Provider Name | Marybeth Cunniff |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366950446 PECOS PAC ID: 9638428378 Enrollment ID: I20180814001912 |
| Provider Name | Kristen Pena |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1164806097 PECOS PAC ID: 2163772872 Enrollment ID: I20180830000097 |
| Provider Name | Chirag Patel |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1093196206 PECOS PAC ID: 9234480963 Enrollment ID: I20180919003246 |
| Provider Name | Gautam Gupta |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356728869 PECOS PAC ID: 8921359654 Enrollment ID: I20181004002186 |
| Provider Name | John M Danks |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1023308772 PECOS PAC ID: 4981957594 Enrollment ID: I20181030000180 |
| Provider Name | Jillian Wade |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427429497 PECOS PAC ID: 4082910732 Enrollment ID: I20181031000847 |
| Provider Name | Alice Chu |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1346416997 PECOS PAC ID: 2567530926 Enrollment ID: I20181114003040 |
| Provider Name | Tri Le |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578058749 PECOS PAC ID: 5294089561 Enrollment ID: I20181127000155 |
| Provider Name | Ryan J Murphy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235667858 PECOS PAC ID: 7618235128 Enrollment ID: I20181129001135 |
| Provider Name | Ma-pilar Pamela De Los Santos |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063947752 PECOS PAC ID: 5092050492 Enrollment ID: I20181212002511 |
| Provider Name | Luis Cerda |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1780944702 PECOS PAC ID: 5799021002 Enrollment ID: I20190108001276 |
| Provider Name | Caroline Szpalski |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1114379864 PECOS PAC ID: 5799021606 Enrollment ID: I20190115000668 |
| Provider Name | Shivanck Upadhyay |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376815647 PECOS PAC ID: 6002037371 Enrollment ID: I20190131000075 |
| Provider Name | Matthew Ostroff |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982131405 PECOS PAC ID: 9436497674 Enrollment ID: I20190213000512 |
| Provider Name | Edwin Cabassa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841225026 PECOS PAC ID: 5496940033 Enrollment ID: I20190307001553 |
| Provider Name | Nicole M Marshall |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1932228855 PECOS PAC ID: 4981943941 Enrollment ID: I20190308002046 |
| Provider Name | Miguel Angel Garcia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033689526 PECOS PAC ID: 2668712506 Enrollment ID: I20190313000038 |
| Provider Name | Evangeline S. Hance |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093279226 PECOS PAC ID: 6507107034 Enrollment ID: I20190411000020 |
| Provider Name | Maria Alvarez-ballway |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1750508149 PECOS PAC ID: 9638411648 Enrollment ID: I20190423001259 |
| Provider Name | Emilia M Wawszczyk |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700249703 PECOS PAC ID: 5597007294 Enrollment ID: I20190430000129 |
| Provider Name | Haris A Kalatoudis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144587502 PECOS PAC ID: 0941510739 Enrollment ID: I20190502002173 |
| Provider Name | Jideofor F Aniukwu |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1063728947 PECOS PAC ID: 0345543302 Enrollment ID: I20190503000434 |
| Provider Name | Anthony Doss |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1750775987 PECOS PAC ID: 0941542310 Enrollment ID: I20190506000066 |
| Provider Name | Amy Sisk |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477964393 PECOS PAC ID: 0840523692 Enrollment ID: I20190610002022 |
| Provider Name | Brianne L Deptuch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083180244 PECOS PAC ID: 4486988730 Enrollment ID: I20190620002187 |
| Provider Name | Brittany Rood |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801353917 PECOS PAC ID: 8729312442 Enrollment ID: I20190628000923 |
| Provider Name | Hilary Hastings Porteous-nye |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1144546938 PECOS PAC ID: 9436484201 Enrollment ID: I20190716002606 |
| Provider Name | Tobi Ogundare |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376906222 PECOS PAC ID: 3678809597 Enrollment ID: I20190730001436 |
| Provider Name | Elizabeth Schiffenhaus |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1720440563 PECOS PAC ID: 1658617022 Enrollment ID: I20190801000207 |
| Provider Name | Lani B Mendelson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1356721195 PECOS PAC ID: 1254667058 Enrollment ID: I20190801000312 |
| Provider Name | Nawar Al Obaidi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437511219 PECOS PAC ID: 6608103270 Enrollment ID: I20190806002075 |
| Provider Name | Kelly E Edebiri |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386007581 PECOS PAC ID: 6103153663 Enrollment ID: I20190807001886 |
| Provider Name | Irving Chung |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1306226139 PECOS PAC ID: 2365779766 Enrollment ID: I20190807003768 |
| Provider Name | Konstantinos Leou |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1306269493 PECOS PAC ID: 1658617857 Enrollment ID: I20190812000967 |
| Provider Name | Paige Meredith Silverman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003052929 PECOS PAC ID: 6002143096 Enrollment ID: I20190814001352 |
| Provider Name | Christen Caloway |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1134562143 PECOS PAC ID: 7416259148 Enrollment ID: I20190815000036 |
| Provider Name | Reshma Paresh Maniar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366839599 PECOS PAC ID: 1052649449 Enrollment ID: I20190822003452 |
| Provider Name | Ian Rabinowitz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649836867 PECOS PAC ID: 8426387283 Enrollment ID: I20190904002684 |
| Provider Name | Eric Steinberg |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1447541768 PECOS PAC ID: 5890912844 Enrollment ID: I20190905001721 |
| Provider Name | Abdalla Mohamed |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174079990 PECOS PAC ID: 2163751389 Enrollment ID: I20190912001069 |
| Provider Name | Oluwaseun Akangbe |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891146452 PECOS PAC ID: 5496084576 Enrollment ID: I20190916001551 |
| Provider Name | Mediha Ibrahim |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1962639849 PECOS PAC ID: 2769799956 Enrollment ID: I20190926001080 |
| Provider Name | Pegah Aalami-harandi |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1740654441 PECOS PAC ID: 9234469768 Enrollment ID: I20190926001877 |
| Provider Name | Christopher William Meaden |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1194110759 PECOS PAC ID: 1254662125 Enrollment ID: I20191007002371 |
| Provider Name | Damilola Akinola |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1124492384 PECOS PAC ID: 0446581300 Enrollment ID: I20191008003276 |
| Provider Name | Ruhin Yuridullah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114370749 PECOS PAC ID: 2860723517 Enrollment ID: I20191009003528 |
| Provider Name | Laurie Dabaghian |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1205256278 PECOS PAC ID: 5597097485 Enrollment ID: I20191025001319 |
| Provider Name | Sarah A Barber |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1669843892 PECOS PAC ID: 7911330162 Enrollment ID: I20191203000592 |
| Provider Name | Halima El-moslimany |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1457382657 PECOS PAC ID: 2264435197 Enrollment ID: I20191217002994 |
| Provider Name | Jennifer H Chuang |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1053557504 PECOS PAC ID: 3173772423 Enrollment ID: I20200113000735 |
| Provider Name | Denisa Stojakova |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689210346 PECOS PAC ID: 4789019845 Enrollment ID: I20200117000785 |
| Provider Name | Flordeliz Buensuceso Panem |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770603722 PECOS PAC ID: 1951324284 Enrollment ID: I20200206001334 |
| Provider Name | Kellie Atlas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972834703 PECOS PAC ID: 9931234671 Enrollment ID: I20200212000006 |
| Provider Name | Lovan Vanclin Oloko-nelson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750926689 PECOS PAC ID: 3577990167 Enrollment ID: I20200220000709 |
| Provider Name | Simi Philip |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962733550 PECOS PAC ID: 0941458137 Enrollment ID: I20200221002611 |
| Provider Name | Perliza Diocos Emde |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679127948 PECOS PAC ID: 4082042379 Enrollment ID: I20200320000181 |
| Provider Name | Miguel Adrian Reyes |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1851829113 PECOS PAC ID: 2961831425 Enrollment ID: I20200403001368 |
| Provider Name | Violeta Zileska |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841838893 PECOS PAC ID: 6204265689 Enrollment ID: I20200406002770 |
| Provider Name | Haiyan Li |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871044180 PECOS PAC ID: 5395095772 Enrollment ID: I20200513002572 |
| Provider Name | Ashkan Hamzelou |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912353830 PECOS PAC ID: 2567884844 Enrollment ID: I20200615000416 |
| Provider Name | Moutaz Ghrewati |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568982189 PECOS PAC ID: 8224450531 Enrollment ID: I20200615001937 |
| Provider Name | Ronald Lis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205987021 PECOS PAC ID: 6002898103 Enrollment ID: I20200619000005 |
| Provider Name | Anas N Salem |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942736475 PECOS PAC ID: 7719222330 Enrollment ID: I20200624003121 |
| Provider Name | Christina Beck |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1679004949 PECOS PAC ID: 4587901103 Enrollment ID: I20200629000050 |
| Provider Name | Yana Cavanagh |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1104189844 PECOS PAC ID: 7012339575 Enrollment ID: I20200630000492 |
| Provider Name | Farhan Ayoub |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699295501 PECOS PAC ID: 6305269838 Enrollment ID: I20200701000035 |
| Provider Name | Nicole Barbash |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1649708678 PECOS PAC ID: 0446673982 Enrollment ID: I20200701000200 |
| Provider Name | Radhika Tailor |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669902995 PECOS PAC ID: 4880017243 Enrollment ID: I20200702000794 |
| Provider Name | Maria Esther Fuentes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497394605 PECOS PAC ID: 0941624381 Enrollment ID: I20200720000318 |
| Provider Name | Shirley S Santos |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053951186 PECOS PAC ID: 9830513555 Enrollment ID: I20200728000547 |
| Provider Name | Matthew D Moore |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1679950893 PECOS PAC ID: 5395083489 Enrollment ID: I20200806000162 |
| Provider Name | Ashley T Kakkanatt |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1528418738 PECOS PAC ID: 7719304401 Enrollment ID: I20200826001422 |
| Provider Name | Jodi Louisa Hadeed |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1649711433 PECOS PAC ID: 9335566579 Enrollment ID: I20200902000772 |
| Provider Name | Darine I Androwis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669902458 PECOS PAC ID: 2961820683 Enrollment ID: I20200914000089 |
| Provider Name | Angela Suguey Acevedo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881228997 PECOS PAC ID: 6204255128 Enrollment ID: I20200925002549 |
| Provider Name | Janki Vihang Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336661610 PECOS PAC ID: 1456771435 Enrollment ID: I20201013000705 |
| Provider Name | Ma Tiffany Almendras |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184258402 PECOS PAC ID: 0042630790 Enrollment ID: I20201019000611 |
| Provider Name | Juli Palatty |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215544176 PECOS PAC ID: 7012327612 Enrollment ID: I20201111000591 |
| Provider Name | Sameh Scander |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811427198 PECOS PAC ID: 2668883836 Enrollment ID: I20201118002444 |
| Provider Name | Victor Ukwu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588018345 PECOS PAC ID: 8921410911 Enrollment ID: I20201216000720 |
| Provider Name | Jon-kerwin Lagasca |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215570536 PECOS PAC ID: 3577978022 Enrollment ID: I20210216002245 |
| Provider Name | Claudia Herreros |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1558851915 PECOS PAC ID: 6709291792 Enrollment ID: I20210225002101 |
| Provider Name | Angela Beltre |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649742669 PECOS PAC ID: 9739595687 Enrollment ID: I20210302000030 |
| Provider Name | Trixie Kioko-kamps |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1336750413 PECOS PAC ID: 7012326077 Enrollment ID: I20210505000003 |
| Provider Name | Mubashir Shabil Billah |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1235587478 PECOS PAC ID: 1557760519 Enrollment ID: I20210524001684 |
| Provider Name | Eliezl R Andaya |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588242374 PECOS PAC ID: 6204235781 Enrollment ID: I20210603001824 |
| Provider Name | Nikole Voigt |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1316465875 PECOS PAC ID: 2860892312 Enrollment ID: I20210621002165 |
| Provider Name | Mareena Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982263901 PECOS PAC ID: 9739418104 Enrollment ID: I20210713001366 |
| Provider Name | Rahul Vasudev |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1689081325 PECOS PAC ID: 1153724893 Enrollment ID: I20210719003434 |
| Provider Name | Kristie Spindler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770157471 PECOS PAC ID: 9931503620 Enrollment ID: I20210803000589 |
| Provider Name | Sherri C Brown |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1801464466 PECOS PAC ID: 3072917590 Enrollment ID: I20210805002354 |
| Provider Name | Bijal S Sheth |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013400175 PECOS PAC ID: 6507260965 Enrollment ID: I20210806000663 |
| Provider Name | Ivan Jakimovski |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043703135 PECOS PAC ID: 3375948326 Enrollment ID: I20210830000833 |
| Provider Name | Sohail Qayyum |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1164735650 PECOS PAC ID: 1153567755 Enrollment ID: I20210913003209 |
| Provider Name | Ali Ghomi |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1639196520 PECOS PAC ID: 0648166777 Enrollment ID: I20210916000166 |
| Provider Name | John Michael Norko |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1992191605 PECOS PAC ID: 8123330511 Enrollment ID: I20210920002192 |
| Provider Name | Eugene Oswald |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447678768 PECOS PAC ID: 6608110556 Enrollment ID: I20211028002950 |
| Provider Name | Michelle Szerling |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629684048 PECOS PAC ID: 0446648950 Enrollment ID: I20211102000611 |
| Provider Name | Andrew Mcginniss |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1124414826 PECOS PAC ID: 3577974682 Enrollment ID: I20211102002788 |
| Provider Name | Mohamed Elagami |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1417440439 PECOS PAC ID: 1557750437 Enrollment ID: I20211115002118 |
| Provider Name | Gary Gutierrez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255670790 PECOS PAC ID: 7214230325 Enrollment ID: I20211123001390 |
| Provider Name | Vadim Goldshteyn |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1609016773 PECOS PAC ID: 3971656513 Enrollment ID: I20211123001776 |
| Provider Name | Naveen R Parva |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1073005328 PECOS PAC ID: 6507256393 Enrollment ID: I20211210000008 |
| Provider Name | Sidra Sohail |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205326568 PECOS PAC ID: 4385980085 Enrollment ID: I20211223000458 |
| Provider Name | Katherine Judy Guth |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1770934218 PECOS PAC ID: 0749671865 Enrollment ID: I20211229000156 |
| Provider Name | Mina Banoub |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1235624974 PECOS PAC ID: 6204227994 Enrollment ID: I20220107001179 |
| Provider Name | Khalid Jumean |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811302128 PECOS PAC ID: 1355612359 Enrollment ID: I20220218001702 |
| Provider Name | Kimberly Dejesus |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063008431 PECOS PAC ID: 1153715412 Enrollment ID: I20220302001533 |
| Provider Name | Kruthika Reddy |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1891176913 PECOS PAC ID: 2365741964 Enrollment ID: I20220331002967 |
| Provider Name | Ida Molavi |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1730663907 PECOS PAC ID: 8921430281 Enrollment ID: I20220414001338 |
| Provider Name | Suey Lyn Wong-urena |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205329372 PECOS PAC ID: 5193102838 Enrollment ID: I20220518000928 |
| Provider Name | Shajla Ajas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598241747 PECOS PAC ID: 9537547500 Enrollment ID: I20220602002233 |
| Provider Name | Raymond Shih |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578068060 PECOS PAC ID: 6002156742 Enrollment ID: I20220603000006 |
| Provider Name | Natalia Levytska |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1255726022 PECOS PAC ID: 5799085015 Enrollment ID: I20220606000580 |
| Provider Name | Fady Fawzy Shafeek |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285297986 PECOS PAC ID: 2860870789 Enrollment ID: I20220606002279 |
| Provider Name | Daniel E Rabinowitz |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1275928541 PECOS PAC ID: 2961747894 Enrollment ID: I20220608000601 |
| Provider Name | Kirsten Anderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114685013 PECOS PAC ID: 7810375557 Enrollment ID: I20220608000938 |
| Provider Name | Elizabeth Alaeddin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851031587 PECOS PAC ID: 2264814417 Enrollment ID: I20220804000019 |
| Provider Name | John Palu-regan |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1629337118 PECOS PAC ID: 5294156345 Enrollment ID: I20220805002599 |
| Provider Name | Mina Effat Fransawy Alkomos |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265995286 PECOS PAC ID: 7214319268 Enrollment ID: I20220808001233 |
| Provider Name | Namrata Paul |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285086637 PECOS PAC ID: 2668854548 Enrollment ID: I20220809003205 |
| Provider Name | Joshua M Henderson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1629555065 PECOS PAC ID: 8729328422 Enrollment ID: I20220810003100 |
| Provider Name | Kaila Krishnamoorthy |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1952780421 PECOS PAC ID: 8921311002 Enrollment ID: I20220819000022 |
| Provider Name | Chandni Patel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023570645 PECOS PAC ID: 0345623641 Enrollment ID: I20220819000652 |
| Provider Name | Alexa Dashko |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1568074276 PECOS PAC ID: 9335522630 Enrollment ID: I20220819000680 |
| Provider Name | Arpita Suri |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346803301 PECOS PAC ID: 4880077197 Enrollment ID: I20220819000725 |
| Provider Name | Michelle Frances Dominguez |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1295398725 PECOS PAC ID: 2163805383 Enrollment ID: I20220819001437 |
| Provider Name | Premilla Mendonca |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619417300 PECOS PAC ID: 4486037496 Enrollment ID: I20220823003408 |
| Provider Name | David Thomas Rodriguez |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1831689504 PECOS PAC ID: 3476969973 Enrollment ID: I20220908002715 |
| Provider Name | Paige Mercedes Sumbaly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417628199 PECOS PAC ID: 2062897267 Enrollment ID: I20220922003940 |
| Provider Name | Maleeha Memon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184187890 PECOS PAC ID: 4385013028 Enrollment ID: I20221220000070 |
| Provider Name | Veronica Chehata |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1366825689 PECOS PAC ID: 4284948654 Enrollment ID: I20230119002609 |
| Provider Name | Navpreet Kaur |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326760695 PECOS PAC ID: 2163893330 Enrollment ID: I20230126000372 |
| Provider Name | Patricia Po |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831808781 PECOS PAC ID: 8527439702 Enrollment ID: I20230126000804 |
| Provider Name | Eric Choi |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1306863865 PECOS PAC ID: 3971632431 Enrollment ID: I20230126003456 |
| Provider Name | Jessicah Campbell Digiacomo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285361758 PECOS PAC ID: 6709258890 Enrollment ID: I20230220000938 |
| Provider Name | Natalia Karpova |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1174850564 PECOS PAC ID: 7911371885 Enrollment ID: I20230315001967 |
| Provider Name | Abraham El-sedfy |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1346506607 PECOS PAC ID: 6507113743 Enrollment ID: I20230406002477 |
| Provider Name | Nawras Aldaoud |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366975641 PECOS PAC ID: 0840613162 Enrollment ID: I20230406002764 |
| Provider Name | Anel Iveth Marquez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295498251 PECOS PAC ID: 6406221340 Enrollment ID: I20230407000303 |
| Provider Name | Leya Y Schwartz |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1467806471 PECOS PAC ID: 1153660063 Enrollment ID: I20230407001894 |
| Provider Name | Intisar Khalil |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760195630 PECOS PAC ID: 8325403520 Enrollment ID: I20230421001880 |
| Provider Name | Amany Abu Hanoud |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962885574 PECOS PAC ID: 8022473974 Enrollment ID: I20230427001236 |
| Provider Name | Sushilkumar Satish Gupta |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750799722 PECOS PAC ID: 7416294368 Enrollment ID: I20230504000597 |
| Provider Name | Michael Lamacchia |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1528109394 PECOS PAC ID: 3577929900 Enrollment ID: I20230510000112 |
| Provider Name | Anne Fitzpatrick |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1174222939 PECOS PAC ID: 7911363981 Enrollment ID: I20230517000614 |
| Provider Name | Renee S Mccormack |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649984147 PECOS PAC ID: 3870950397 Enrollment ID: I20230526002016 |
| Provider Name | Lourdes Aguayo-figueroa |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1376718551 PECOS PAC ID: 8426415951 Enrollment ID: I20230526002487 |
| Provider Name | Nader Magdy Mekheal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861020760 PECOS PAC ID: 6204294796 Enrollment ID: I20230614004248 |
| Provider Name | Danielle Ferullo |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1154763019 PECOS PAC ID: 8729447859 Enrollment ID: I20230706003917 |
| Provider Name | Jovana Betancur |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1306532395 PECOS PAC ID: 3577922541 Enrollment ID: I20230708000578 |
| Provider Name | Hayley Lynch |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1790381275 PECOS PAC ID: 6002275005 Enrollment ID: I20230710001049 |
| Provider Name | Kasim Ali Babar |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1245894575 PECOS PAC ID: 5496115206 Enrollment ID: I20230712001160 |
| Provider Name | Suzanne Laura Allen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558079491 PECOS PAC ID: 4587025523 Enrollment ID: I20230807002761 |
| Provider Name | Ivette Lebron |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1508545880 PECOS PAC ID: 5890157796 Enrollment ID: I20230809001606 |
| Provider Name | Tamer N Akel |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1790165157 PECOS PAC ID: 3577925478 Enrollment ID: I20230809001839 |
| Provider Name | Yarub Al-alousi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366085235 PECOS PAC ID: 4880056720 Enrollment ID: I20230809003593 |
| Provider Name | Rithvik Balakrishnan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417342635 PECOS PAC ID: 0244692960 Enrollment ID: I20230814000039 |
| Provider Name | Abdel Azim Bayoumy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942402243 PECOS PAC ID: 4183706609 Enrollment ID: I20230823002381 |
| Provider Name | Cynthia Cookson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093414641 PECOS PAC ID: 0446613418 Enrollment ID: I20230824002125 |
| Provider Name | Muhammad Adil Afzal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235767997 PECOS PAC ID: 5698138477 Enrollment ID: I20230825003213 |
| Provider Name | Emad A Eisa |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366725749 PECOS PAC ID: 9830338995 Enrollment ID: I20230825003541 |
| Provider Name | Shawn Pate |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124552757 PECOS PAC ID: 7416310222 Enrollment ID: I20230828000823 |
| Provider Name | Kanthi Rekha Badipatla |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1467745869 PECOS PAC ID: 2668737719 Enrollment ID: I20230927000627 |
| Provider Name | Jamila Ahmed |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962122879 PECOS PAC ID: 2466807672 Enrollment ID: I20231009000508 |
| Provider Name | Nikola Djurdjevic |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407358526 PECOS PAC ID: 5597112177 Enrollment ID: I20231104000030 |
| Provider Name | Judy Woo |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1093759938 PECOS PAC ID: 6608225420 Enrollment ID: I20231205003332 |
| Provider Name | Carmen Pagan Duran |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518916295 PECOS PAC ID: 7517943855 Enrollment ID: I20231206000627 |
| Provider Name | Hend Abulsayen |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1558893743 PECOS PAC ID: 7618328774 Enrollment ID: I20240112002870 |
| Provider Name | Ralph Mosca |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1346284809 PECOS PAC ID: 5496808966 Enrollment ID: I20240118004643 |
Challenge Program Of New Jersey Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 152 Market St, Suite 200, Paterson, NJ 07505 Phone: 973-345-9100 Fax: 973-345-9110 | |
Community Health Group Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 540 Straight St Ste 2c, Paterson, NJ 07503 Phone: 862-657-5500 Fax: 862-657-5501 | |
Omar T Cockey Dmd Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 703 Main St, Paterson, NJ 07503 Phone: 973-779-6183 Fax: 973-779-6183 | |
Family Care Of New Jersey Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1042 Main St, Paterson, NJ 07503 Phone: 973-510-2444 Fax: 973-278-2818 | |
Vance Medical Group Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 703 Main St, Paterson, NJ 07503 Phone: 973-754-2000 | |
Paterson Community Health Center, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 32 Clinton St, Paterson, NJ 07522 Phone: 973-790-6594 Fax: 973-790-7703 | |
Fidelis Medical Group Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1042 Main St, Paterson, NJ 07503 Phone: 973-510-2444 Fax: 973-278-2818 |